Thursday, October 22, 2009

Many of my clients have health issues that often pose challenges to enjoying their vacations. I often find myself providing health coaching to them, which is I am more than happy to do. Today I received a newsletter from John Hopkins Health alert that addressed Traveling Safely with Diabetes, that makes some great points.

So here is the Health Alert in its entirety from John Hopkins.

Having diabetes shouldn't get in the way if you want to see Paris, take a cruise, or simply spend time with your grandchildren in another state. Here’s practical advice to help you travel safely with diabetes.

First Stop: Your Doctor's Office: Schedule a visit with your physician some weeks before taking an extended trip. Be sure your regular vaccinations are up-to-date, and check on what medications or vaccinations are recommended before visiting certain parts of the world. The Centers for Disease Control and Prevention (CDC) has the latest information on vaccination and medication recommendations; visit wwwn.cdc.gov/travel/default.aspx. (The American Diabetes Association [www.diabetes.org/home.jsp] and the National Diabetes Education Program [www.ndep.nih.gov/] also have good information on traveling.) In addition:

*Get a signed letter from your doctor stating that you have diabetes and listing the medical supplies you require, such as insulin, syringes, pumps, or lancets. Carry this letter with you when you travel.

*If you don't already have a bracelet, necklace, or some other form of identification showing that you have diabetes, now is a good time to get one.Be sure you have more than enough diabetes medication in case of an emergency.

*Ask your doctor how your travel plans will affect your diabetes medication requirements. With most pills, it is reasonable to gradually change the time you take them if you cross many time zones. If you take only one shot of long-acting insulin a day, you will have to gradually change the timing of that shot -- for instance, increasing the time between shots by three to six hours every 24 hours. Most people are on long-acting and short-acting insulin. Our recommendation is to test frequently and take the short-acting insulin before every meal, whatever time that may be, with adjustments made in the dose if your blood glucose is higher or lower than usual.

*If you are traveling to a country where English is not widely spoken, learn how to say, "I have diabetes" and "Please get me to a hospital" in the native language of each country you plan to visit.

*If you do need medical treatment while abroad, it's best to know ahead of time how to get it. One good source is the International Association for Medical Assistance to Travellers (IAMAT) website, www.iamat.org, which features a directory of qualified, English-speaking physicians around the world.

Pack Right. If you are flying, your diabetes supplies should be in your carry-on bag. Here are diabetes essentials to pack:

Insulin and oral diabetes medication. Take twice as much insulin and oral medication as you would normally need for the duration of your trip. Insulin stays good for about a month at room temperature, but extreme temperatures will damage insulin and may make it entirely inactive. Don’t keep insulin in a suitcase that will be stowed in the cargo compartment of a plane that may freeze, and don't leave it in the glove compartment or trunk if you're in a car that may overheat. Be sure that all insulin and injectors are in their original packaging with their brand labels. Keeping all of your insulin, syringes, and other tools for diabetes management in a separate pouch can make security screening easier.

*Syringes, lancets, and test strips. As with diabetes medications, double up on syringes, lancets, and blood glucose and urine ketone test strips, too. You can bring an unlimited number of unused syringes in your carry-on bag as long as they are accompanied by insulin or other medication that requires injection. Bring some extra batteries for your equipment, since you never know when you'll need them.

And finally … Bring a diabetes identification card or a medical alert necklace or bracelet (if you're not already wearing one). If your insurance policy covers emergencies abroad, bring necessary insurance paperwork. You have to plan what to carry with you at all times, too. Never leave the hotel without some source of sugar you can use if your glucose drops. Be careful to take your insulin, pills, and testing supplies with you every day in case there is a delay getting back to your home base.

It is possible to travel safely with diabetes.

Edited to add:11/1/09- Since I originally posted this blog, many people have asked about what to do when you cross time lines and you are a diabetic taking insulin. Many doctors advise that the traveler Stay with the original schedule. That would mean wearing a watch with alarms and keeping the watch timed to your Home Time zone. Others suggest gradually adjusting your insulin schedule to match your vacation time zone. In either case it takes alot of careful planning. It is important for the traveler to discuss this important decision with their doctor and work together to come up with a solution.

If you were interested in this blog you may be interested in an older blog I wrote called MEDICAL TRAVEL TIPS

********************************************Gail Walker aka "GailTravel is a Travel Consultant with her own online Travel site atwww.GailsDreamVacations.com. She specializes in Group travel, Bus trips, Family reunions, Cruises, Resorts, and Fundraisers for Non-profit organizations, including churches.Contact Gail for a travel consultation or a Web tour. through this site, or 917-476-7305 or emailWLKRG5@gmail.com

Tuesday, October 20, 2009

Airline passengers just seem to not be able to catch a break! It seems that airlines will be adding a $10 "holiday surcharge" on this year! Gone are the competitive pricings of Holiday season 2008! It seems that American, United, Delta and US Airways added" $10 each way" surcharge for travel on three busy days around the Thanksgiving and New Year's holidays. Can some body say "Bah humbug" ?

It is thought that the airlines added the charge because it was a quick, and easy way to charge more on peak travel days. The Sunday after Thanksgiving November 29, is one of the busiest travel days of the year, while January 2 and 3 are popular with holiday travelers as well.

Apparently the airlines are losing money on the Business Travel. With the advent of Phone conference lines and webinars, companies are opting to use these tools for virtual meetings. Many companiies have been forced to cut down on their Conference budgets as well.

You can be sure that the prices will increase even more the closer we get to the holdays.So how can we be frugal during this holiday season?* Book your airfare now before the fares go up even more.*Travel light. Take carry on luggage and avoid the luggage fees.*if you are taking gifts for the family, consider shipping them via UPS, Fedex or Post office. You will end up saving tons of money.* College students coming home for the winter break? Encourage them to ship their items ahead. Book their one way fares home NOW. They can book another one way ticket back to school late in January.The prices are sure to come down by then.

So there you have it! To all the holiday Travelers, safe travels and Happy Holidays! To the Airline Scrooge..... Bah Humbug to you too!

*************************************************************************************Gail Walker aka "GailTravel is a Travel Consultant with her own online Travel site atwww.GailsDreamVacations.com. She specializes in Group travel, Bus trips, Family reunions, Cruises, Resorts, and Fundraisers for Non-profit organizations, including churches.Contact Gail for a travel consultation or a Web tour. through this site, or 917-476-7305 or emailWLKRG5@gmail.com

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Welcome to my Life. Travel is a love of mine, and now that I no longer have young kids, I am making up for lost time. So I own a Travel business, Gail's Dream Vacations. Just recently we added Surge 365, aTravel Club that provides vacations at wholesale prices. Want to book a vacation? Want an EZ Travel Button? Want a Surge 365 Membership? Fill out the Contact form above and I will get right with you!